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    Researchers call on ACIP to update tetanus schedule

    A new study reveals that tetanus vaccinations may last longer than previously thought and that updating guidelines as such could save close to $300 million annually.

    The report, titled “Durability of Vaccine-Induced Immunity Against Tetanus and Diphtheria Toxins: A Cross-sectional Analysis,” and published in Clinical Infectious Diseases, revealed that antibodies from tetanus and diphtheria vaccination can last up to 30 years and has led researchers to call for a change to immunization schedules.

    Mark K. Slifka, PhD, of the Oregon National Primate Research Center at Oregon Health and Science University, said this report is just one of several lines of evidence indicating that it might be time to modify the adult booster vaccination schedule.

    Tetanus and diphtheria are rare diseases in the U.S., with tetanus occurring at a rate of about 1 case per 10 million people, and just five diphtheria cases reported in the last 15 years. About 99% of U.S. adults under age 60 are protected against these diseases, Slifka said.

    Routine annual vaccination against tetanus and diphtheria began in the mid-1940s. By the 1960s, increased rates of adverse events due to hyper-immunization were occurring and a shift was made in 1966 to a 10-year schedule, Slifka said. At that time, the science of vaccine-induced antibody responses were not well understood, but with today’s technology he said it appears as though the true duration of immunity has been greatly underestimated.

    The study reviewed immunity levels of 546 adults, and 97% of that population was seropositive to tetanus and diphtheria. Antibody responses had an estimated half-life of 14 years for tetanus and 27 years for diphtheria, according to the study. Using this data, researchers concluded that 95% of the population would remain protected against both diseases for 30 years or more without additional booster vaccination.

    Next: Updating standards

    Rachael Zimlich, RN
    Rachael Zimlich is a freelance writer in Cleveland, Ohio. She writes regularly for Contemporary Pediatrics, Managed Healthcare ...


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